Melioidosis of the Prostate

Primary melioidotic prostatic abscess: Presentation, diagnosis and management

“…It was first described in a 73‐year‐old Chinese fisherman in Hong Kong 9 who presented with fever and urinary retention. There was another case of melioidotic prostatic abscess in a 60‐year‐old truck driver from Queensland, Australia who presented with acute urinary retention and septicemia 10 . More recently, a 10‐year review of 254 cases of melioidosis from tropical Northern Australia revealed 35 cases (18%) of prostatic abscesses and prostatitis 4 .…”

A Case of Imported Melioidosis Presenting as Prostatitis

“…Our patient presented bacteremia and prostatic abscesses. Prostatic melioidosis has been well described [9][10][11][12][13][14][15] but was considered to be rare. However, in a recent prospective study of 252 cases in northern Australia [4], the presence of prostatic abscesses in 18% of men is far higher than reported in the studies from Thailand [10].…”

“…There is controversy about the role of surgery in treating melioidosis [17]. Prostatic abscesses usually require drainage [4], transurethral resection of the prostate or transrectal ultrasound-guided drainage [15]. However, successful antibiotic treatment of prostatic abscesses has been described [14].…”